Healthcare Provider Details

I. General information

NPI: 1255319950
Provider Name (Legal Business Name): MICHAEL Q DURRY M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/04/2006
Last Update Date: 08/20/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

556 CYNWOOD DR STE C
EASTON MD
21601-3886
US

IV. Provider business mailing address

556 CYNWOOD DR STE C
EASTON MD
21601-3886
US

V. Phone/Fax

Practice location:
  • Phone: 667-810-6112
  • Fax:
Mailing address:
  • Phone: 667-810-6112
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License NumberD63673
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License NumberD0063673
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: